Manager, Care Management – CA RN Unrestricted License

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Alignment Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

💰 $135M Series C on 2020-03

Healthcare Insurance • Insurance • Healthcare

Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.

📋 Description

• Lead, mentor, and develop a team of RN Case Managers, ensuring alignment with organizational policies and regulatory standards • Oversee daily outpatient case management operations, including referrals, transitions of care, and care coordination • Maintain audit readiness by coordinating chart reviews and monitoring case management processes • Train and onboard new staff while providing ongoing coaching and performance feedback • Assign and prioritize team workload to ensure efficiency and quality outcomes • Collaborate cross-functionally with Medical Directors, Quality, and Compliance leadership • Manage escalated cases and step in to perform case management duties as needed • Ensure accurate and compliant documentation across all team activities • Analyze and report clinical and program data to leadership to support continuous improvement • Support the development and implementation of protocols, workflows, and best practices • Supervise a team of RN Case Managers and coordinators • Lead hiring, onboarding, and training efforts • Provide performance management, coaching, and development

🎯 Requirements

• 5+ years of RN Case Management experience (or equivalent combination of education and experience) • At least 1 year of leadership or supervisory experience in a healthcare setting • Associate’s or Bachelor’s degree in Nursing required • Active, unrestricted Registered Nurse (RN) license (required) • CCM certification preferred • Strong knowledge of Medicare Managed Care Plans • Proven leadership and team management experience • Ability to manage projects and initiatives to improve performance • Skilled in organizing, prioritizing, and delegating work • Excellent communication and collaboration skills across diverse teams • Strong analytical, problem-solving, and decision-making abilities • Proficiency in Microsoft Office (Word, Excel, Outlook)

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible work arrangements • Professional development opportunities